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Trends in Access to Health Care, 1996-2006

Trends in Access to Health Care, 1996-2006. Jim Kirby AHRQ. Objective. Describe trends in health care access over the decade 1996-2006 Focus on Disparities by: Insurance Age Income Race/ethnicity. Data and Measures. Data

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Trends in Access to Health Care, 1996-2006

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  1. Trends in Access to Health Care, 1996-2006 Jim Kirby AHRQ

  2. Objective • Describe trends in health care access over the decade 1996-2006 • Focus on Disparities by: • Insurance • Age • Income • Race/ethnicity

  3. Data and Measures • Data • Household component of the Medical Expenditure Panel Surveys (MEPS), 1996-2006 • Representative of the US civilian non-institutionalized population • Sample sizes range from 22,601 to 39,165, depending on year • Two measures of Access to ambulatory health care • Usual Source of Care (USC) • One or more physician visits in an office setting during a year

  4. Methods • Calculate weighted percentages, testing differences across groups and years • Percentages and standard errors are adjusted for the complex sample design of MEPS

  5. Percent with a Usual Source of Care and At Least One Office Visit

  6. Percent with a Usual Source of Care by Insurance Status

  7. Percent with At Least One Office Visit by Insurance Status

  8. Percent with a Usual Source of Care by Age

  9. Percent with At Least One Office Visit by Age

  10. Percent with a Usual Source of Care by Poverty Status, 1996-2006

  11. Percent with At Least One Office Visit by Poverty Status, 1996-2006

  12. Percent with a Usual Source of Care by Race/ethnicity, 1996-2006

  13. Percent with At Least One Office Visit by Race/Ethnicity, 1996-2006

  14. Summary • Overall, the ambulatory access measures have changed little between 1996 and 2006 • Between 1996 and 2006, access to health care has worsened for: • The uninsured • Those aged 18-49 • Disparities by Race/ethnicity remain relatively large and stable

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